Is it serious if the alanine aminotransferase is high in chronic hepatitis B?

Patient's question:

I have chronic hepatitis B. My ALT levels are very high. Very high! The doctor prescribed me: 30g of Andrographis paniculata, 50g of Coptis teeta, 50g of Smilax glabra, 30g of Poria cocos, 30g of Radix Paeoniae Rubra, 30g of Salvia miltiorrhiza, 20g of Moutan Cortex, 20g of Polygonum cuspidatum, 30g of Atractylodes macrocephala, 20g of Taraxacum mongolicum, 60g of Bupleurum chinense. I don’t know what effect these herbs have. Does anyone understand? Let’s see how effective they are for my condition! What should I do?

Doctor's answer:

These drugs may have value, but currently, the most effective treatment for hepatitis B is antiviral therapy. If there are clear HBV copy indicators (such as HBeAg positive, HBV DNA positive, or viral load greater than 10^5 copies/mL), and the elevated ALT levels are 2 to 10 times the upper limit of the normal range, it is recommended to start antiviral therapy early. Additionally, during the treatment for chronic hepatitis B (HBeAg-positive), in addition to symptomatic treatment, the patient's dietary condition and psychological state are also particularly important. The patient must maintain a light diet and always keep a cheerful and optimistic mindset to avoid unnecessary impacts on the complete recovery from chronic hepatitis B.

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